JUAN F VALDIVIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014158

License Status

EXPIRED

Business

First Name

JUAN

Middle

Last Name

VALDIVIA

Suffix

Business Name

JUAN F VALDIVIA MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006